Improvements in security and increased humanitarian assistance are urgently needed to save lives in the war-torn Democratic Republic of Congo, conclude authors of a study in this week's issue of The Lancet. Latest estimates from the study highlight how nearly 4 million people have died since the conflict began in 1998.

The war in the Congo is a humanitarian disaster, but has drawn little response from the international community. Richard Brennan (International Rescue Committee, New York, USA) and colleagues report the findings of a nationwide household mortality survey done between April and July, 2004. 19 500 households were visited. The national crude mortality rate of 21 deaths per 1000 per month was 40% higher than the sub-Saharan regional level, corresponding to 600 000 more deaths than would be expected during the recall period and 38 000 excess deaths per month. Total death toll from the conflict (19982004) was estimated to be 39 million. The mortality rate was higher in unstable eastern provinces, showing the effect of insecurity. Most deaths were from easily preventable and treatable illnesses rather than violence.

Dr Brennan comments: This is the fourth in a series of surveys since 2000 that have consistently drawn the same conclusion--Congo is the deadliest crisis anywhere in the world over the past 60 years. It is a sad indictment on us all that, seven years into this crisis, ignorance about its scale and impact is almost universal, and that international engagement remains completely out of proportion to humanitarian need. Major governments, the United Nations, the African Union, humanitarian agencies, and the international media must all play a role: improved security is essential to lower the death toll; greater political engagement is urgently required; the parties to the conflict must be held to account; and the level of humanitarian aid must be increased dramatically. The citizens of DR Congo must finally be given the chance to li
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Contact: Joe Santangelo
j.santangelo@elsevier.com
212-633-3810
Lancet
5-Jan-2006

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